咨询描述:医生你好,我家狗狗去年10月检查出来四个脚趾真菌加细菌感染。
当时打了长效抗生素,也有口服药(已经忘记是什么药了),喷剂开了**和***。
持续用药两个月后似乎痊愈了,期间有次没来得及戴伊丽莎白圈让狗狗啃到了脚,于是嘴角脸颊好像被传染了,发红发痒,喷了一段时间**似乎也痊愈了。
今年大概2月份脚上又复发了,喷剂用的***。
现在脚和嘴角都再次复发。我应该用什么药或者怎么护理才能让这个病不再复发呢?
回复总结:狗狗脚掌有瘙痒、发红的症状,可能是真菌感染和细菌感染引发的趾间炎,跟马拉色菌和葡萄球菌有关。针对这种情况,治疗方面建议给狗狗口服抗真菌药物,一天2次,连用8天,同时配合使用抗菌消炎的外用喷剂或软膏。另外,建议给狗狗适量的补充复合维生素B ,提高免疫力、增强机体抵抗力。
问题大致一样,细节不同?
陆文健
执业兽医师
根据您目前提供的信息,还不能做出进一步的判断。我还有几个问题需要向您了解一下:
1、麻烦您把去年10月份化验真菌和细菌的化验报告发给我看一下,我看看感染的是什么真菌和细菌?最近有没有去医院化验?2、目前是不是四个脚和嘴角部位都有感染?嘴角和四个脚都有瘙痒吗?3、那个**喷剂主要是什么成分?
1.可能因为我们这里是小地方,宠物医院不太专业,当时医生根本没有给我化验报告,只是口头告知。因为和第一次发病症状一样就没有再去医院化验。
2.现在四个脚脚趾都有图片上那种红色皮损,但都不大,及时用药几天就会好。如果发现晚了不喷药就会扩大、发肿、渗出组织液。嘴角只是发红,没有其他症状。应该是痒的,这两次都是看到狗狗啃脚、刨脸才发现的复发了。上一次复发就是发现它把自己一个脚啃破皮了一大块地方。
3.**喷剂包装上写的它是液体敷料,主要成分是褐藻寡糖,主要用于抗菌、消炎、促愈。当时的用法是先喷**,三小时后再喷保芬特,两种药都是每天两次。
第二次复发想再购买药品结果没货才在医生建议下换了***。
因为***怕被误食不敢用在嘴角,这次嘴角没有用药,但发红的地方没有变扩大或严重,只是偶尔痒想挠。
陆文健
执业兽医师
根据您的描述所提供的信息,您的狗狗脚掌感染有瘙痒,以及可以传染到嘴角,也有瘙痒,以及脚掌不及时治疗会出现肿胀有渗出液。狗狗脚掌感染应该是马拉色菌(一种真菌)和细菌(葡萄球菌等),如果要确诊需要刮片镜检。
给您的治疗建议是:
1、口服抗真菌药物;
2、脚掌除局部治疗使用***外喷;
3、口服复合维生素B,增强皮肤的对真菌和细菌的抵抗力。
下面我给您开个处方,处方中的:
1、****,具有抗真菌功效,对于马拉色菌、癣菌、小孢子菌有效;
2、***复合维生素B溶液 ,提高免疫力、增强机体抵抗力。
陆文健
执业兽医师
建议处方:
1、*******,20mg×8片×2板/盒,一次口服1片,一天2次,连用8天;
2、***复合维生素B溶液 ,70ml/瓶,一次口服2ml,一天2次,连用15天。
陆文健
执业兽医师
几点说明:
1、我给您开的抗真菌药物,是一个疗程(7天)的剂量;
2、脚掌同时使用外用药克微爽外喷;
3、请用药5天后复诊,根据您的狗狗恢复的情况再来考虑下一步治疗方案,有问题可随时在线联系。
陆文健
执业兽医师
由于脚掌可能是真菌和细菌混合感染趾间炎,这种疾病,很难治愈,容易复发。我给您的治疗方案应该会有效,但需要及时复诊(用药5天后),再考虑下一步治疗方案,争取彻底治愈。
好的,谢谢医生。
嘴角不需要用外用药吗?
家里的***已经见底了,我去商城搜了一下没看到有卖,可以开其他药吗方便一次性购买
如果不行可以推荐购买的地方吗,我问了一下狗狗去看病的医院,***也暂时没有货了。
另外咨询一个题外话,豆豆这种大龄狗狗还可以去洗牙吗?
陆文健
执业兽医师
1、好的,我下面再给您开一个******抑菌膏,使用于脚掌涂抹,和口服******同时使用;
2、嘴角暂时不要使用外用药,如果嘴角是真菌感染,使用口服抗真菌药物,皮肤自然会有好转;
3、您的狗狗10岁多,如果牙结石很多,或者牙齿不是很好的,可能还不能洗牙,洗牙对于牙齿的磨损比较严重,您的大龄狗狗牙齿可能承受不了,或者去洗牙的时候征求一下他们的意见。
陆文健
执业兽医师
建议处方:*****抑菌膏,10g/瓶/盒,适量涂抹于脚掌,一天2次,连用7天。需要防止狗狗舔。我给您开的****不能给狗狗舔,需要给狗狗带伊丽莎白项圈。
医生建议及处方根据当前病情给出,仅适用于本次问诊
蘑菇宠医处方笺
用法用量需根据患宠的年龄、体重等信息开具,此处方暂不展示
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